Organization Active NPI

Broward Medical Specialist Inc

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1700195930
Registry record updated Aug 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 107125 Issued in FL
Legal business name
BROWARD MEDICAL SPECIALIST INC
Practice address
2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone
(754) 888-5656
Fax
(954) 785-8333
NPI assigned
Oct 5, 2010
Last updated
Aug 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiprianos S Armenakis, M.D.NPI 1306000211
Title
President
Phone
(754) 888-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 107125 FL Primary

Addresses

Primary practice location

2205 Bay Dr
Pompano Beach, FL 33062-2912

Mailing address

2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone (754) 888-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000613 FL Part B Supplier - Clinic/Group Practice 6709078363 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

7421 N University Dr
Ste 306
Tamarac, FL 33321
Phone (954) 721-4300

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377302400000",
    "number": "1700195930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BAY DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622912",
            "telephone_number": "754-888-5656",
            "fax_number": "954-785-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BAY DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622912",
            "telephone_number": "754-888-5656",
            "fax_number": "954-785-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2013-08-24",
        "status": "A",
        "authorized_official_last_name": "ARMENAKIS",
        "authorized_official_first_name": "KIPRIANOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-888-5656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 107125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.